SearchNew Jersey171100000X

Alaethia Doctor, L.AC

NPI 1245583343 · on the registry since 2012 · sole proprietor

Practice

Address
39 Main St
Bradley Beach, NJ 07720
Phone
(347) 709-0848

Additional practice sites

  • 220 W 98th St, New York, NY

Registry record

Primary taxonomy
171100000X
171100000X
Also registered as
171100000X
Licence states on file
NY, NJ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-01-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey